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Doppler Sonography in Pregnancies Complicated with Pregestational Diabetes Mellitus

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Doppler Ultrasound in Obstetrics and Gynecology

Conclusion

Antepartum fetal surveillance constitutes an essential component of the standards of care in managing pregnancies complicated with pregestational diabetes mellitus. Fetal hyperglycemia is associated with increased oxidative metabolism, hypoxemia, and increased brain and renal perfusion without any significant changes in fetoplacental perfusion. Moreover, the relationship between abnormal umbilical arterial Doppler indices and the quality of glycemic control remains unproven; however, observational studies suggest significant diagnostic efficacy of the umbilical arterial Doppler method in diabetic pregnancies complicated with FGR or hypertension. Although there are no randomized trials specifically addressing this issue, existing evidence suggests that Doppler velocimetry of the umbilical artery may be beneficial for antepartum fetal surveillance in diabetic pregnancies in the presence of these complications. Such utilization should be integrated with the existing standards of practice.

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Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Winthrop University Hospital, 159 First Street, Mineola, NY, 11501, USA

    Dev Maulik MD, Ph.D.

  2. Department of Obstetrics and Gynecology, Winthrop University Hospital, Mineola, NY, 11501, USA

    Genevieve Sicuranza MD

  3. Department of Obstetrics and Gynecology, Winthrop University Hospital, 259 First Street, Mineola, NY, 11501, USA

    Andrzej Lysikiewicz MD, PhD & Reinaldo Figueroa MD

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  1. Dev Maulik MD, Ph.D.
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  2. Genevieve Sicuranza MD
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  3. Andrzej Lysikiewicz MD, PhD
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  4. Reinaldo Figueroa MD
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Editors and Affiliations

  1. Department of Obstetrics and Gynecology, Winthrop University Hospital, 159 First Street, Mineola, NY, 11501, USA

    Dev Maulik MD, Ph.D.

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© 2005 Springer-Verlag Berlin Heidelberg

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Maulik, D., Sicuranza, G., Lysikiewicz, A., Figueroa, R. (2005). Doppler Sonography in Pregnancies Complicated with Pregestational Diabetes Mellitus. In: Maulik, D. (eds) Doppler Ultrasound in Obstetrics and Gynecology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-28903-8_21

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  • DOI: https://doi.org/10.1007/3-540-28903-8_21

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-23088-5

  • Online ISBN: 978-3-540-28903-6

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